摘要
目的探讨利用宫颈细胞学随访宫颈电凝物理治疗宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)2级12个月的结果。方法 2008年6月～2010年12月,对首次诊断为CIN2者行电凝物理治疗,术后6、12个月复查宫颈脱落细胞学检查,报告为非典型鳞状上皮细胞意义不明(ASC-US)及以上者行阴道镜指导下活检及宫颈管搔刮术。结果 103例完成随访。术后6个月宫颈脱落细胞学正常72.8%(75/103)。细胞学异常者行阴道镜检查,检出CIN2共3例(2.9%)。术后12个月复查,细胞学异常14例,经阴道镜指导下宫颈活检,没有CIN2及以上病变检出。结论宫颈电凝物理治疗CIN2,病变持续率2.9%(3/103)。随访12个月,所有病变在首次检查中发现,故应该重视首次随访。
Objective To follow up 12-month outcomes of electrofulguration in patients with cervical intracpithelial neoplasia grades 2 （CIN2）. Methods From June 2008 to December 2010, we performed electrofulguration on patients who were diagnosed with CIN2 for the first time. Cytology tests were carried out in 6 and 12 months after the procedure, and the one who showed abnormal results （ASC-US or higher grade lesions） received colposcopy-directed biopsy and endocervical curettage accordingly. Results Totally 103 patients completed a 12-month follow-up; 75 of them （72.8%） showed normal cytology in 6 months, and in the others, who had abnormal cytology, CIN2 was detected in 3 cases （2.9%）. At month 12, 14 patients showed abnormal cytology, and thus received colposcopy-directed biopsy, which didn＇ t show any CIN2 or higher grades lesions. Conclusions In the patients who have accepted electrofulguration for CIN2, the detection rate of CIN2 is 2.9% （3/103）. During a 12-month follow-up, all the lesions can be detected in the first follow-up examination at month 6, which means the first follow-up is important.
出处
《中国微创外科杂志》
CSCD
2012年第11期1006-1008,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
电凝治疗
宫颈上皮内瘤变
Electrofulguration
Cervical intraepithelial neoplasia
